Hanni Krista D, Mendoza Elsa, Snider John, Winkleby Marilyn A
Monterey County Health Department, Salinas, California, USA.
Prev Chronic Dis. 2007 Oct;4(4):A105. Epub 2007 Sep 15.
In 2003, the Monterey County Health Department, serving Salinas, California, was awarded one of 12 grants from the Steps to a HealthierUS Program to implement a 5-year, multiple-intervention community approach to reduce diabetes, asthma, and obesity. National adult and youth surveys to assess long-term outcomes are required by all Steps sites; however, site-specific surveys to assess intermediate outcomes are not required.
Salinas is a medically underserved community of primarily Mexican American residents with high obesity rates and other poor health outcomes. The health department's Steps program has partnered with traditional organizations such as schools, senior centers, clinics, and faith-based organizations as well as novel organizations such as employers of agricultural workers and owners of taquerias.
The health department and the Stanford Prevention Research Center developed new site-specific, community-focused partner surveys to assess intermediate outcomes to augment the nationally mandated surveys. These site-specific surveys will evaluate changes in organizational practices, policies, or both following the socioecological model, specifically the Spectrum of Prevention.
Our site-specific partner surveys helped to 1) identify promising new partners, select initial partners from neighborhoods with the greatest financial need, and identify potentially successful community approaches; and 2) provide data for evaluating intermediate outcomes matched to national long-term outcomes so that policy and organizational level changes could be assessed. These quantitative surveys also provide important context-specific qualitative data, identifying opportunities for strengthening community partnerships.
Developing site-specific partner surveys in multisite intervention studies can provide important data to guide local program efforts and assess progress toward intermediate outcomes matched to long-term outcomes from nationally mandated surveys.
2003年，为加利福尼亚州萨利纳斯市服务的蒙特雷县卫生局，获得了“迈向更健康美国计划”的12笔拨款之一，以实施一项为期5年的多干预社区方法，来减少糖尿病、哮喘和肥胖症。所有参与该计划的地点都需要进行全国性的成人和青少年调查，以评估长期结果；然而，并不要求进行针对特定地点的调查来评估中期结果。
萨利纳斯是一个医疗服务不足的社区，主要居民为墨西哥裔美国人，肥胖率高且有其他不良健康状况。卫生局的“迈向更健康美国计划”项目已与学校、老年中心、诊所和宗教组织等传统组织以及农业工人雇主和墨西哥玉米卷餐馆老板等新型组织建立了合作关系。
卫生局和斯坦福预防研究中心开发了新的针对特定地点、以社区为重点的合作伙伴调查问卷，以评估中期结果，作为对全国性强制调查的补充。这些特定地点的调查将根据社会生态模型，特别是预防范围，评估组织实践、政策或两者的变化。
我们特定地点的合作伙伴调查有助于：1）识别有潜力的新合作伙伴，从经济需求最大的社区中挑选初始合作伙伴，并确定可能成功的社区方法；2）提供数据以评估与国家长期结果相匹配的中期结果，以便能够评估政策和组织层面的变化。这些定量调查还提供了重要的针对具体情况的定性数据，确定了加强社区伙伴关系的机会。
在多地点干预研究中开展针对特定地点的合作伙伴调查，可以提供重要数据，以指导地方项目工作，并评估在与全国性强制调查的长期结果相匹配的中期结果方面取得的进展。
